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Double board certified OBGYN and REI, Dr. Natalie Crawford discusses testosterone in women, its role in hormone balance, and its impact on fertility. She explains how testosterone interacts with estrogen and progesterone, why random testosterone level measurements can be misleading, and how conditions like PCOS and liver function affect hormone levels. Dr. Crawford also highlights the risks of testosterone therapy, including the use of pellets, and how they can disrupt the menstrual cycle and hinder conception. Understanding the function of sex hormone-binding globulin (SHBG) and the body's natural checks and balances is essential for hormone health. If you are trying to conceive or looking to optimize your hormone levels, this video will provide the knowledge you need to make informed decisions about your reproductive health. Questions Answered: What is testosterone? How does testosterone relate to the menstrual cycle? What role does testosterone play in women's bodies? How do testosterone levels change throughout a woman's life? What is the difference between total and free testosterone? What is sex hormone binding globulin (SHBG)? What are the potential side effects of high testosterone in women? How can testosterone impact fertility and pregnancy? What factors affect testosterone levels? What are the risks of testosterone replacement therapy? Why are long-acting testosterone pellets problematic? How do hormones like birth control affect testosterone? What testosterone levels are considered normal for women? What happens to testosterone production after menopause? ------------------------------ Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas. COME SAY HI!!! Blog: nataliecrawfordmd.com Instagram: https://www.instagram.com/nataliecrawfordmd/?hl=en TikTok: https://www.tiktok.com/@nataliecrawfordmd Twitter: https://twitter.com/ncrawfordmd?lang=en Facebook: https://www.facebook.com/nataliecrawfordmd/ Email: [email protected] FORA FERTILITY: forafertilityaustin.com 715 W 34th Street, Austin, TX 78705 To become a patient: email [email protected] or call 512-956-5006 Listen to the AS A WOMAN PODCAST here: ITUNES: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339 SPOTIFY: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk?si=1b2f774f601d4142 ---------- #fertility #fertilitydoctor #nataliecrawfordmd #doctor #asawoman Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.

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Crown - How Long Should It Last? Dr. O discusses how long a crown should last. When spending your hard earned money on your smile, it is important to consider how long your investment will last. Dental Crowns are a great way to save a tooth that has severe damage and in many cases are necessary. It is important to consider how many years the crown may be of service before one is to invest in fixing the tooth with a crown. Your dentist should be able to give you an idea on what an average lifespan would be based on these factors below. As with repairing anything after damage, the 3 main factors contributing to the longevity are Condition Before Crown - How badly damaged was the tooth prior to the treatment and what was the overall supporting condition of the surrounding teeth? Quality of the Crown - Was the dentist using the latest techniques and technology to give you the very latest and best of care? Care of the Crown - How will the teeth be taken care of to keep them healthy and will there be balance and support that will favor long term success of the crown? Remember condition, quality, and care. Condition - Pre-Treatment - Remaining tooth structure after cavity or fracture - Type of tooth structure remaining - Decay present - Root canal needed - Balance - alignment vs. misalignment - Supporting teeth - implants to replace missing teeth to help strength of the bite - Bone Health - no active periodontal bone loss contributing to foundational issues for long term gum and bone health. Quality of Treatment - Material Choice - Strength, beauty, ability to bond, which I prefer EMAX - Preparation of the teeth - Conservative preparation which is simplified by the use of same day technology like CEREC CAD/CAM that avoids the need of a temporary. - Technology - Same-Day Crown Technology - Bonding vs cementing - Cementing is the older way of connecting restorations to teeth. Bonding is the newer technology that allows for more conservation of tooth structure. Care - Home care - Tooth brushing and flossing twice a day - Dental Hygiene Visits and Recare routinely to make certain that any issues are caught and corrected early - Maintaining Balance - Straight and healthy bite with possible night guards for those who grind or clench their teeth while sleeping - Maintaining Support - replace missing teeth with sound restorations whether implants (preferred) or bridges - Habits - sometimes are unavoidable, but do contribute to the longevity of the crown - Sugar consumption - High decay rate from consuming sugar consistently throughout the day. - Dry mouth - medications typically contribute to the dryness leading to decay around the margin of the crown While this is definitely not an exhaustive list of all of the factors, this lists the main factors contributing to the longevity of a crown. Typically crowns that are placed on teeth that still maintain 50% of the remaining tooth structure, may last 20, 30, or even 40 years. Catching and fixing tooth problems like decay and fracture, early by routinely visiting your dentist will improve the longevity of the crown. Finding a quality dentist that will give you the latest in cosmetic dentistry and technology will assure you are set up for the greatest success, and maintaining the health of your smile! To learn more, Visit https://www.idspringfield.com Call 417-889-4746 to reserve your visit to Innovative Dental Located outside of the area and want information on traveling to Innovative Dental? Give us a call at 417-889-4746 or visit http://www.YourSmileDestination.com/?YTCrownLastHowLong

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The mechanism of action is thought to be related to inhibition of neuronal reuptake of serotonin and subsequent potentiation of serotonin activity. The central ejaculatory neural circuit comprises spinal and cerebral areas that form a highly interconnected network. The sympathetic, parasympathetic, and somatic spinal centers, under the influence of sensory genital and cerebral stimuli integrated and processed at the spinal cord level, act in synergy to command physiologic events occurring during ejaculation. Experimental evidence indicates that serotonin (5-HT), throughout brain descending pathways, exerts an inhibitory role on ejaculation. To date, three 5-HT receptor subtypes 5-HT(1A), 5-HT(1B), and 5-HT(2C) have been postulated to mediate 5-HT's modulating activity on ejaculation. Dosage & Administration Adult (18 to 64 years of age): The recommended starting dose for all patients is 30 mg, taken as needed approximately 1 to 3 hours prior to sexual activity. If the effect of 30 mg is insufficient and the side effects are acceptable, the dose may be increased to the maximum recommended dose of 60 mg. The maximum recommended dosing frequency is one dose every 24 hours. Interaction CNS active medicinal products: The use of Dapoxetine in combination with CNS active medicinal products has not been systematically evaluated in patients with premature ejaculation. Consequently, caution is advised if the concomitant administration of Dapoxetine and such medicinal products is required. PDE5 inhibitors: Tadalafil did not affect the pharmacokinetics of Dapoxetine. Sildenafil caused slight changes in Dapoxetine pharmacokinetics, which are not expected to be clinically significant. However, Dapoxetine should be prescribed with caution in patients who use PDE5 inhibitors due to possible reduced orthostatic tolerance. Tamsulosin: Concomitant administration of single or multiple doses of 30 mg or 60 mg Dapoxetine to patients receiving daily doses of Tamsulosin did not result in changes in the pharmacokinetics of Tamsulosin. However, Dapoxetine should be prescribed with caution in patients who use alpha adrenergic receptor antagonists due to possible reduced orthostatic tolerance. Warfarin: There are no data evaluating the effect of chronic use of Warfarin with Dapoxetine; therefore, caution is advised when Dapoxetine is used in patients taking Warfarin chronically. Ethanol: Concomitant use of alcohol and Dapoxetine could increase the chance or severity of adverse reactions such as dizziness, drowsiness, slow reflexes, or altered judgment. Combining alcohol with Dapoxetine may increase these alcohol-related effects and may also enhance neurocardiogenic adverse events such as syncope, thereby increasing the risk of accidental injury; therefore, patients should be advised to avoid alcohol while taking Dapoxetine. Contraindications Patients with known hypersensitivity to Dapoxetine Hydrochloride. Patients with significant pathological cardiac conditions such as heart failure (NYHA class II-IV), conduction abnormalities (second or third degree AV block or sick sinus syndrome) not treated with a permanent pacemaker, significant ischemic heart disease of significant valvular disease. Concomitant treatment with monoamine oxidase inhibitors (MAOIs), thioridazine. Similarly, MAOIs or thioridazine should not be administered within 7 days after Dapoxetine has been discontinued. Concomitant treatment with serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs) or other medicinal/herbal products with serotonergic effects or within 14 days of discontinuing treatment with these medicinal/herbal products. Side Effects Dizziness, Headache, Somnolence, Tremor, Blurred vision, Tinnitus, Sinus congestion, Nausea, Diarrhea, Abdominal pain, Dry mouth, Fatigue, Insomnia, Hypertension. Pregnancy & Lactation Dapoxetine is not indicated for use by women. It is not known either dapoxetine or its metabolites are excreted through human breast milk. Precautions & Warnings Patient with bleeding disorders, epilepsy, susceptibility to angle-closure glaucoma or raised intraocular pressure. Not intended for use in women. Known CYP2D6 poor metabolisers. Overdose Effects There were no unexpected adverse events in a clinical pharmacology study of Dapoxetine with daily doses up to 240 mg. In general, symptoms of overdose with SSRIs include serotonin-mediated adverse reactions such as somnolence, gastrointestinal disturbances such as nausea and vomiting, tachycardia, tremor, agitation and dizziness. In cases #longlastingsexmedicine#bddrug24 #bestsexmedicineinbd#